Provider Demographics
NPI:1821114018
Name:YAPA, BETTY ANDERSON (CRNA)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:ANDERSON
Last Name:YAPA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PORTOFINO DR STE 1802
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32561-2490
Mailing Address - Country:US
Mailing Address - Phone:814-360-5720
Mailing Address - Fax:
Practice Address - Street 1:1000 E MORENO ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-5656
Practice Address - Country:US
Practice Address - Phone:850-469-7663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9261433367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered